NPI | 1427679844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ R78010) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ R78010) |
Enumeration Date | 2020-04-27 |
Last Update Date | 2023-06-23 |