NPI | 1841603941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: ID o-1405) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 6020950-1204) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 6020950-1204) | |
Enumeration Date | 2014-06-05 |
Last Update Date | 2023-12-05 |