| NPI | 1184620783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 9767) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036162728) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-01-05 |