| NPI | 1841551165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S9011) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 80449) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S9011) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-08-25 |