NPI | 1326571100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS15859) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL OS15859) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2025-04-03 |