NPI | 1497852651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC TL29351) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 29351) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2018-12-10 |