| NPI | 1245297886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U6052) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 19131) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 11808R) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2024-02-05 |