NPI | 1891283230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S4587) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4587) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2025-07-09 |