| NPI | 1407872955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX H7183) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: TX H7183) |
| 207R00000X Internal Medicine (Licence: TX H7183) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-02-03 |