NPI | 1457318073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA G69877) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G69877) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2018-02-13 |