| NPI | 1013228196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 071394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4449) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 071394) | |
| 207R00000X Internal Medicine (Licence: GA 071394) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-08-05 |