| NPI | 1205082088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NV DO1578) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NV DO1578) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2020-04-15 |