| NPI | 1013357375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88074) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0011593) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DE C1-0011593) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2021-07-28 |