| NPI | 1487613741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 30026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 30026) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 30026) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-09-27 |