| NPI | 1366462111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 55488) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-107643) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-107643) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-11-22 |