| NPI | 1417908138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101241469) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D71226) |
| 207R00000X Internal Medicine (Licence: TX M0439) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-09-24 |