| NPI | 1326449018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q1343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1343) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2020-05-04 |