| NPI | 1184824542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL OS9475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036115768) |
| 207R00000X Internal Medicine (Licence: FL OS9475) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL OS9475) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-12-09 |