| NPI | 1306139746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 309288) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 309288) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2017-00207) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2017-00207) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2018-07-11 |