NPI | 1295948727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G84030) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA G084030) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2019-07-11 |