| NPI | 1073827721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA 45339) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA 45339) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2024-07-01 |