| NPI | 1780819920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX N9517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034599) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX N9517) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2021-12-03 |