| NPI | 1083699102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 44382) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 9901268) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 29391) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9901268) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 29391) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-06-21 |