| NPI | 1154559516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX P2069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P2069) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX P2069) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2019-09-27 |