| NPI | 1245206309 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D62241) | 
| Additional Taxonomies | 174400000X Specialist (Licence: MD D62241) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D62241) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D062241) | |
| Enumeration Date | 2006-02-27 | 
| Last Update Date | 2022-06-20 |