| NPI | 1508004094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 45105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 45105) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 45105) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 45105) | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2024-06-03 |