| NPI | 1508248451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX v4191) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A186319) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX v4191) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A186319) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2025-03-10 |