| NPI | 1235373796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 274661) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 274661) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A135985) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-09-08 |