NPI | 1467430975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 32084) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 32084) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2020-08-12 |