NPI | 1780002261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 9560104-1205) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 9560104-1205) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2021-11-03 |