| NPI | 1225039852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q2197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME72751) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME72751) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD058426L) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q2197) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MA058426L) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-10-16 |