| NPI | 1306100128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 63819) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 06106) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-04-01 |