| NPI | 1790195378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S4987) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S4987) |
| 207R00000X Internal Medicine (Licence: MI 4301104948) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-12-07 |