| NPI | 1023321239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10037749) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C151021) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C151021) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-11-17 |