NPI | 1710076120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J1325) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J1325) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX J1325) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2022-0083) | |
208M00000X Hospitalist (Licence: TX J1325) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2024-01-04 |