| NPI | 1548754542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V1364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V1364) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2026-01-16 |