| NPI | 1538134374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C159482) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 52948) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 52948) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E4577) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2019-03-20 |