| NPI | 1376120360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V4096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V4096) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2026-08-14 |