NPI | 1467019067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX T7695) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T7695) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-09-20 |