| NPI | 1003090952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2012038837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10027676) |
| 207R00000X Internal Medicine (Licence: MO 2012038837) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2017-04-20 |