| NPI | 1346377215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX K9569) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01068238A) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX K9569) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-05-14 |