| NPI | 1386969152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 61871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52010) |
| 207R00000X Internal Medicine (Licence: MN 61871) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 61871) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2018-06-14 |