| NPI | 1841495637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX T7039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T7039) |
| 207R00000X Internal Medicine (Licence: HI DOS 1610) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX T7039) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: HI DOS 1610) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: HI DOS 1610) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-08-02 |