| NPI | 1396906335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX P2878) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P2878) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 145594) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-06-28 |