| NPI | 1083898258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N1885) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 37686) |
| 207R00000X Internal Medicine (Licence: TX N1885) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2009-05-12 |