NPI | 1891702114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA 053971) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 053971) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2019-10-22 |