| NPI | 1982835567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S7479) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S7479) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301108956) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2021-08-31 |