| NPI | 1922324813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q1482) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q1482) |
| 207R00000X Internal Medicine (Licence: TX Q1482) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2022-07-25 |