| NPI | 1235107681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME143190) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME143190) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 50609) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 66607) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-02-12 |