| NPI | 1205287869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX S6570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212122) |
| 208M00000X Hospitalist (Licence: TX S6570) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2021-12-03 |