| NPI | 1164684908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S3889) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-8963) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E-8963) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2020-03-12 |