| NPI | 1447666276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R6872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6872) |
| 207R00000X Internal Medicine (Licence: MO 2014018822) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2021-07-30 |