NPI | 1679993562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T2813) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 1453) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T2813) | |
Enumeration Date | 2014-04-18 |
Last Update Date | 2024-04-11 |