| NPI | 1164494621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2016-02320) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 076376) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2016-02320) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD35306) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-02-06 |