| NPI | 1942640560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S8123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016023366) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2016023366) | |
| 174400000X Specialist (Licence: TX S8123) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2025-10-21 |