| NPI | 1093717324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101032333) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101032333) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 89292) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-02-16 |