| NPI | 1336582659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM DO2022-0069) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q3350) |
| 207R00000X Internal Medicine (Licence: TX Q3350) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 010974) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q3350) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM DO2022-0069) | |
| 207R00000X Internal Medicine (Licence: TX BP10047254) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2026-01-07 |