| NPI | 1518232818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S5083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY, 201731) |
| 207R00000X Internal Medicine (Licence: LA MD.206245) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S5083) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-07-30 |