NPI | 1609166016 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X (Licence: TN 51976) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 51976) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 51976) | |
208D00000X General Practice (Licence: TN 51976) | |
Enumeration Date | 2011-04-19 |
Last Update Date | 2024-08-23 |