NPI | 1194353557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 77132) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 73791) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 73791) | |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-06-16 |