| NPI | 1760793418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX P9469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P9469) |
| 208M00000X Hospitalist (Licence: MO 2013005695) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2019-11-18 |