| NPI | 1316929102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 85354) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 31202) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 31202) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2022-01-13 |