| NPI | 1588863450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N7105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10027616) |
| 207R00000X Internal Medicine (Licence: TX N7105) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N7105) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-05-15 |