| NPI | 1255435244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 1644481205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 164448-1205) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2023-11-27 |