| NPI | 1518931831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0064164) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101231334) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0064164) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-02-02 |