| NPI | 1235398587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX P0492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P0492) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-10-14 |