| NPI | 1376890731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101264264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043720) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101264264) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX BP10043720) | |
| Enumeration Date | 2012-08-04 |
| Last Update Date | 2022-08-15 |