| NPI | 1598960528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R8861) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E7390) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R8861) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E7390) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-11-08 |