| NPI | 1932494374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R1478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041543) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2018-03-17 |