| NPI | 1538321054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA DO-04015) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA DO-04015) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: IA DO-04015) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-01-11 |