| NPI | 1053623512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R1338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198120) |
| 207R00000X Internal Medicine (Licence: TX R1338) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R1338) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-05-31 |