| NPI | 1548648819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX R6108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053488) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2023-08-15 |