| NPI | 1114057544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4501) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301509824) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX P4501) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX P4501) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX P4501) | |
| 207R00000X Internal Medicine (Licence: NE 24241) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-10-22 |