| NPI | 1801162029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S5466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101436) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 078451) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MT208166) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-07-21 |