| NPI | 1467656264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: UT 8731873-1205) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WY 13903C) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 8731873-1205) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-09-30 |