| NPI | 1386760080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 31487) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2014-01042) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 31487) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-11-20 |