| NPI | 1386059574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 11664312-1204) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID O-1323) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2017011227) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-12-12 |