NPI | 1407875941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 00A511550) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA A51155) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-09-23 |