| NPI | 1285889485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N3026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N3026) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-09-15 |