| NPI | 1447563812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 29599) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 29599) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL Md.33430) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL Md.33430) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2020-06-26 |