| NPI | 1740544824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T6283) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35127797) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T6283) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX T6283) | |
| 208000000X Pediatrics (Licence: OK 29219) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-06-13 |