| NPI | 1073040333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 1016275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213402) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: RI MD19461) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: RI MD19461) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2023-09-25 |