| NPI | 1235484692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3631) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 308824) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2022-02-16 |