| NPI | 1467617902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 65716) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 65716) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY TP081) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY TP081) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.158029) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2023-07-12 |