| NPI | 1124083258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NM MD2008-0644) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX P0102) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 36388) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-05-04 |