| NPI | 1063695336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P8540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10027674) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2018-04-20 |