| NPI | 1649404278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 27256) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 63138) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R7301) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 63138) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R7301) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2021-06-16 |