| NPI | 1942418249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 36742) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S3737) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S3737) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-12-11 |