| NPI | 1609133909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S0744) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S0744) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0056453) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2024-03-18 |