| NPI | 1215132196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME116879) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 42353) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 25504) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 42353) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME116879) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-09-08 |