| NPI | 1164404901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101269338) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA c172323) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 067298) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101269338) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA c172323) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2021-08-11 |