| NPI | 1487742383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX L3829) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX L3829) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX L3829) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-12-01 |