| NPI | 1528354727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2014007000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10040005) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2016-06-08 |