| NPI | 1003173550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R6034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043099) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R6034) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2023-01-26 |