| NPI | 1093033714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10037097) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2022-01-25 |