| NPI | 1649622275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T7339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T7339) |
| 207R00000X Internal Medicine (Licence: IL 125068484) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T7339) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-04-28 |