| NPI | 1952515876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N9527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9527) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200700532) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-01-13 |