| NPI | 1154582542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX p1724) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 13491) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 29922) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01067617) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-09-10 |