NPI | 1871931964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A14790) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA 20A14790) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2024-04-17 |