| NPI | 1013035971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0048513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 48513) |
| 207R00000X Internal Medicine (Licence: TX L5726) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-03-19 |