| NPI | 1194009761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101272730) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 46879) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101272730) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 46879) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2023-08-09 |