NPI | 1205488665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U2898) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074770) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2023-05-05 |