| NPI | 1528488731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S9043) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A144404) |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2023-11-09 |