| NPI | 1649250960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P3233) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P3233) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01067092A) | |
| 207R00000X Internal Medicine (Licence: MN 47261) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-10-09 |