| NPI | 1194161802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 58253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58253) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 58253) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-09-29 |