| NPI | 1518212984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: TX Q3355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3355) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OH 35.134687) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2023-02-27 |