| NPI | 1629364096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q6382) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-060261) |
| 207P00000X Emergency Medicine (Licence: OR MD167617) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q6382) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q6382) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-04-30 |