| NPI | 1245642081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX Q7803) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 57661) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX Q7803) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-08-09 |