| NPI | 1043414626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD 155301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0022250) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD 155301) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 57.014364) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-03-17 |