| NPI | 1740418979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N6408) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N6408) |
| 207R00000X Internal Medicine (Licence: TX N6408) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301093966) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2019-10-18 |