NPI | 1811979883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AZ 43291) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01047116A) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2015-05-26 |