| NPI | 1013335157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID O-1353) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID O-1353) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A15369) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR DO198185) | |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-11-25 |