| NPI | 1407877046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G02632) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX G2632) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX G2632) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-03-07 |