| NPI | 1255488060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 62617) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 62617) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.121875) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-09-30 |