| NPI | 1396704698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C137976) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 218412) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C137976) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-06-26 |