| NPI | 1982788337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N3358) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 27606) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX n3358) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-03-08 |