NPI | 1205944907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A55704) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A55704) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2023-08-22 |