| NPI | 1215901392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DE C1-0011557) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD426694) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD426694) | |
| 207R00000X Internal Medicine (Licence: PA MD426694) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0011557) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2015-12-23 |