| NPI | 1063724425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 56920) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 56920) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 106808) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2020-08-14 |