NPI | 1942297676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME117377) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME117377) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2020-02-06 |