| NPI | 1972530608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 019633) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 35304) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 019633) | |
| 207R00000X Internal Medicine (Licence: TX 132557) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX 41750) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-01-12 |