NPI | 1689690216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 029513) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CT 029513) |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CT 029513) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2013-06-10 |