| NPI | 1275597858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 49430) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 49430) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD0000035704) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-12-22 |