| NPI | 1225223332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301508477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-02040) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 2015-02040) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2015-02040) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-04-04 |