| NPI | 1992012173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P2861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 246560) |
| 207R00000X Internal Medicine (Licence: TX P2861) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2026-09-22 |