| NPI | 1932634540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V1546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0089520) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-07-24 |