| NPI | 1659556991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P2892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14357) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C172345) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 236183) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 14357) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 14357) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-04-07 |