| NPI | 1386624476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX L2441) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX L2441) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX L2441) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2025-08-22 |