| NPI | 1083237788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V7671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076800) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V7671) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-06-26 |