| NPI | 1396913745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P7081) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX P7081) |
| 207R00000X Internal Medicine (Licence: TX P7081) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2025-11-25 |