| NPI | 1013320787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T4874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4874) |
| 207R00000X Internal Medicine (Licence: PA MT207407) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T4874) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD470113) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD470113) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-10-05 |