| NPI | 1275794448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 52815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052265) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT196393) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 52815) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2017-05-03 |