| NPI | 1487616785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX D4925) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: TX D4925) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX D4925) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-04-18 |