| NPI | 1184714768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R9070) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R9070) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 39492) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-05-26 |