| NPI | 1881876647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 99123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q2306) |
| 207R00000X Internal Medicine (Licence: MN 66253) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 99123) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q2306) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 66253) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 66253) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2025-06-18 |