NPI | 1194822858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX L4922) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L4922) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2018-02-15 |