NPI | 1174985345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301504101) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301504101) |
207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MI 4301504101) | |
207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301504010) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2025-09-26 |