| NPI | 1235557265 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U6968)  | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U6968)  | 
| 207R00000X Internal Medicine (Licence: TX U6968)  | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 36172)  | |
| Enumeration Date | 2014-04-07 | 
| Last Update Date | 2023-10-04 |