| NPI | 1376720326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 6360341-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 6360341-1205) |
| 207R00000X Internal Medicine (Licence: UT 6360341-1205) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2021-10-28 |