NPI | 1114506680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AR E-19626) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AL MD.48281) |
Enumeration Date | 2021-04-03 |
Last Update Date | 2025-07-24 |