| NPI | 1013094515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A113201) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 84535-20) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 72779) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 3038) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-09-05 |