| NPI | 1457379422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101235121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 23372) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101235121) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-05-20 |