| NPI | 1083701775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0056550) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 042611) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD435281) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-11-16 |