| NPI | 1184705097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 061794) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 061794) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA MD.201018) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-03-08 |