| NPI | 1366823510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 140497) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 140497) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D91427) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D91427) | |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2022-09-18 |