| NPI | 1376697797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A 12416) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 246136) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A 12416) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA OP60477657) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 246136) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-11-22 |