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 |