| NPI | 1346276987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX N8747) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 30625) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N8747) | |
| 207R00000X Internal Medicine (Licence: TX N8747) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-07-30 |