| NPI | 1295363133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 12401844-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 12401844-1205) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-11-25 |