| NPI | 1114969300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M8995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 35244) |
| 207R00000X Internal Medicine (Licence: TX M8995) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-06-19 |