NPI | 1386963742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2015-01015) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01015) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2022-08-22 |