| NPI | 1518377175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S4263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4263) |
| 207R00000X Internal Medicine (Licence: TX BP10050264) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-07-24 |