| NPI | 1780115097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX S2294) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 27602) |
| 207P00000X Emergency Medicine (Licence: TN 61405) | |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: TX S2294) | |
| 207R00000X Internal Medicine (Licence: TX S2294) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-03-22 |