NPI | 1710957428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: MT 94397) |
Additional Taxonomies | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: MA 223813) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2021-02-18 |