| NPI | 1639303829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P1443) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 104508) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 52140) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME121208) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2023-03-07 |