| NPI | 1356327498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1227) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX K1227) |
| 207P00000X Emergency Medicine (Licence: TX K1227) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX K1227) | |
| 208000000X Pediatrics (Licence: TX K1227) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-09-12 |