| NPI | 1275065450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0103519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64418) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V0694) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 64418) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-08-16 |