| NPI | 1376770818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 14203545-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD456004) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD456004) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2025-02-25 |