| NPI | 1912009861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2020019644) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N0102) |
| 208000000X Pediatrics (Licence: MO T2004016534) | |
| 207R00000X Internal Medicine (Licence: TX N0102) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2021-06-15 |