| NPI | 1114453925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 13378757-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017710) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-03-22 |