| NPI | 1891056099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R3899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 61 004029) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 8784) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2018-07-20 |