NPI | 1780682229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 34005481) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34005481V) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2021-03-31 |