| NPI | 1225317126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN MD0000055724) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN MD0000055724) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MS 24974) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 24974) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2022-01-24 |