| NPI | 1083844559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D87864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D87864) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D87864) | |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2019-09-17 |