| NPI | 1053803619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 12744862-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01085705A) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 12744862-1205) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-03-23 |