| NPI | 1598285876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T0482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019022353) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX T0482) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-06-25 |