| NPI | 1760628325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N8930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10024944) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2018-03-17 |