NPI | 1457492910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA C137278) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 42454) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 42454) | |
207R00000X Internal Medicine (Licence: CA C137278) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2022-11-01 |