| NPI | 1609069616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D88698) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N1267) |
| 207R00000X Internal Medicine (Licence: TX N1267) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-09-15 |