| NPI | 1548432636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX S4719) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 264794) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2025-07-23 |