| NPI | 1750661286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 2016039967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6620) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2016039967) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX BP10048662) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX BP10048662) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2022-07-21 |