| NPI | 1659394500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX L8379) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L8379) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-09-09 |