| NPI | 1962602789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N2076) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N2076) |
| 207R00000X Internal Medicine (Licence: TX N2076) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2016-09-19 |