| NPI | 1538438858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S3647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S3647) |
| 207R00000X Internal Medicine (Licence: NY 268560) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2025-03-04 |