| NPI | 1457366502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME157716) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P4803) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P4803) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-10-14 |