NPI | 1538573670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 61223) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065303) |
207R00000X Internal Medicine (Licence: SC 61223) | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2022-02-10 |