| NPI | 1669604310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A108921) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA12042900) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P5620) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P5620) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2024-04-03 |