| NPI | 1447712336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX U7947) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX U7947) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-10-07 |