| NPI | 1710273339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX S3307) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S3307) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S3307) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2024-06-25 |