| NPI | 1831195650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P3021) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2011037088) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2011037088) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P3021) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2024-02-23 |