| NPI | 1124433644 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U7962) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U7962) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 53473) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-01-30 |