| NPI | 1063850956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 11416134-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A135959) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A135959) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A135959) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A135959) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-01-17 |