| NPI | 1144422510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U6413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U6413) |
| 207R00000X Internal Medicine (Licence: WA MD60513792) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 50351) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60513792) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-12-27 |