| NPI | 1003335019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME162082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S8410) |
| 207R00000X Internal Medicine (Licence: FL ME162082) | |
| 207R00000X Internal Medicine (Licence: TX BP10062041) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S8410) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME162082) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S8410) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-05-28 |