| NPI | 1235116948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 033572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 033572) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 033572) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-03-07 |