| NPI | 1770849820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX T3851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T3851) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2023-11-10 |