| NPI | 1679898829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R1661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457573) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2017-08-08 |