| NPI | 1184068363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q2387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047212) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2019-12-21 |