| NPI | 1588977961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q5255) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 57054) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 106783) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2019-06-24 |