| NPI | 1174517809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX F1100) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX F1100) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX F1100) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2021-07-19 |