NPI | 1417160607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: KY 43656) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43656) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AL 28603) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2022-03-17 |