| NPI | 1134339989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA DO-03804) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 3804) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 3804) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-11-11 |