| NPI | 1831380351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX Q4420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090567) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2015-08-13 |