| NPI | 1417148404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 63849) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 63849) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 42431) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 42431) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2019-11-05 |