| NPI | 1366512196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 0060195) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 0060195) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 39099) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD48291) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-04-18 |