| NPI | 1740243153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K0681) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX K0681) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-03-20 |