| NPI | 1487814372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q1580) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 45689) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 45689) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2017-04-11 |