| NPI | 1306842968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 4135) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SD 4135) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN MD-51730) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-10-09 |