| NPI | 1437563319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX OS018014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018014) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S2737) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-12-05 |