| NPI | 1295812808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 49155) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 49155) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 102743) | |
| 208D00000X General Practice (Licence: MN 49155) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-14 |