| NPI | 1619297629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A121692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A121692) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A121692) | |
| 208600000X Surgery (Licence: TX BP10037826) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2022-07-21 |