| NPI | 1164889028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U1611) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U1611) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-41586) | |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2023-10-10 |