| NPI | 1811939325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N5153) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N5153) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 051341) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-04-15 |