| NPI | 1124760087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U8127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 8956) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-03-22 |