| NPI | 1154515765 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 6668569-1205)  | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: UT 6668569-8905)  | 
| Enumeration Date | 2007-08-28 | 
| Last Update Date | 2015-12-07 |