| NPI | 1275534992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M6979) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX m6979) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 0032490) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2025-05-09 |