| NPI | 1154321321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2008-00665) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2008-00665) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 28207-1106) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME77899) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2023-06-29 |