| NPI | 1013398940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T5168) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MT217207) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT217207) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-08-29 |