| NPI | 1376850651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R1260) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX R1260) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R1260) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX R1260) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2024-01-22 |