| NPI | 1437447794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091774) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q8470) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2024-05-21 |