| NPI | 1851431753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD15333R) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N3467) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N3467) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-03-28 |