| NPI | 1023278603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q1530) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX 44663) |
| 207R00000X Internal Medicine (Licence: TX Q1530) | |
| 207R00000X Internal Medicine (Licence: AZ 70822) | |
| 207R00000X Internal Medicine (Licence: TX 44663) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX 44663) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q1530) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2026-01-22 |