NPI | 1750777454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX R7249) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 66617) |
207R00000X Internal Medicine (Licence: TX R7249) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2019-06-24 |