| NPI | 1093058026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX S0125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S0125) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX S0125) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-10-31 |