| NPI | 1255738720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101280270) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101280270) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0013744) | |
| Enumeration Date | 2014-11-29 |
| Last Update Date | 2024-04-17 |