| NPI | 1093925927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10025664) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-11-09 |