| NPI | 1053572735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 62921) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 103814) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 51266) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-08-02 |