| NPI | 1841618303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX T2989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 298045) |
| 207R00000X Internal Medicine (Licence: TX T2989) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 298045-1) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX T2989) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 298045-1) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-01-20 |