NPI | 1174523047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO MOR9429) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R9429) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2014-08-20 |