| NPI | 1477784247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME147082) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 72809) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 60719-020) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 72809) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2020-09-28 |