NPI | 1740770890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA OS024608) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 95658) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 75345) | |
Enumeration Date | 2018-05-15 |
Last Update Date | 2025-06-25 |