| NPI | 1275737660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX R9261) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME120804) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: PR 017287) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PR 017287) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2024-09-23 |