| NPI | 1164865507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2019-01175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 52624) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 52624) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 52624) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-01-13 |