| NPI | 1366562605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C2-0008718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS012487) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DE C2-0008718) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-02-11 |