| NPI | 1346483617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: UT 7771259-1205) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MN 72665) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 7771259-1205) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2023-03-23 |