NPI | 1689747073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI 46375) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 46375) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2024-10-23 |