| NPI | 1013035310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 63303) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 63303) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-01-20 |