| NPI | 1730374604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: UT 6054241-1205) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 5054241-1205) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2023-03-07 |