| NPI | 1073709796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 63860) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 63860) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2020-12-11 |