| NPI | 1386605368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0049708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K8664) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX K8664) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0049708) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2017-02-16 |