| NPI | 1558780114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX R1648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 15529) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-07-21 |