| NPI | 1659392728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 61011) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N5763) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 70144) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-09-22 |