| NPI | 1588777882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX J7664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J7664) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J7664) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-04-03 |