| NPI | 1164684353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME129944) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME129944) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 052191) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 052191) | |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2022-07-21 |