| NPI | 1689876898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 45149) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 202050) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N5324) | |
| 207R00000X Internal Medicine (Licence: TX N5324) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-08-31 |