| NPI | 1083903678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 18704) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 18704) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101255911) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2020-05-18 |