NPI | 1447647433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA OS020168) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS020168) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA FA7617838) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2024-09-04 |