| NPI | 1194805200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 48597-20) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P9684) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P9684) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-10-07 |