| NPI | 1437193745 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-44539) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44539) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-44539) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 46919) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 46919) | |
| Enumeration Date | 2006-06-16 | 
| Last Update Date | 2022-07-21 |