| NPI | 1386023471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2026019327) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2026019327) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T0236) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2026-05-08 |