| NPI | 1003934175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 48983) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 48983) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 57181-020) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-09-22 |