NPI | 1902069230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1996) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX S1996) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX S1996) | |
Enumeration Date | 2008-07-07 |
Last Update Date | 2023-08-22 |