| NPI | 1487837563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 37743) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 8613) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 8613) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2023-07-12 |