| NPI | 1477798676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P5934) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 333767) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI 17496) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P5934) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 48290) | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2023-03-02 |