NPI | 1841656220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: KS 04-23148) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MO R8H94) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2022-10-05 |