| NPI | 1588858914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 33175) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q1688) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q1688) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 33175) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2025-05-20 |