| NPI | 1932171527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60619971) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX J6140) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J6140) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-03-15 |