| NPI | 1255357679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX L4249) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX L4249) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2017-07-05 |