| NPI | 1609895002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX M4280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.200268) |
| 207R00000X Internal Medicine (Licence: TX M4280) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-01-19 |