NPI | 1326309055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A119206) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119206) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2016-04-01 |