| NPI | 1407081169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 11208) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 11208) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND PT 11208) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2023-01-03 |