NPI | 1871536276 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OR MD163523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00040915) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2024-10-25 |