| NPI | 1326001843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M2520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 14813r) |
| 207R00000X Internal Medicine (Licence: TX M2520) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2024-02-15 |