| NPI | 1407117609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036.146254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036146254) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036.146254) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-08-23 |