| NPI | 1003115478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX V8023) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME132739) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V8023) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2025-10-06 |