| NPI | 1174029912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 64118) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX W0003) |
| 207R00000X Internal Medicine (Licence: TX W0003) | |
| 207R00000X Internal Medicine (Licence: AZ 64118) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-10-07 |