NPI | 1831165190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NH 16080) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 46544) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2013-04-18 |