| NPI | 1326086968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 70012) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2010-01067) |
| 207R00000X Internal Medicine (Licence: SC 31497) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 31497) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2010-01067) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 31497) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-03-28 |