| NPI | 1902347198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 11758456-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 009505) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 11758456-1205) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-06-11 |