| NPI | 1265791768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A16734) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R5500) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102203681) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A16734) | |
| 207R00000X Internal Medicine (Licence: TX R5500) | |
| 207R00000X Internal Medicine (Licence: VA 0102203681) | |
| 207R00000X Internal Medicine (Licence: CA 20A16734) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102203681) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R5500) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2019-04-24 |