| NPI | 1316945694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01080093A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 31842) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX H6215) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX H6215) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2019-08-01 |