| NPI | 1306931241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX Q1662) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 254909) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A78737) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TX Q1662) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-07-11 |