| NPI | 1912094681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX L0971) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L0971) |
| 207R00000X Internal Medicine (Licence: TX L0971) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-05-15 |