| NPI | 1548350168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60820824) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO CDR.000221) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 41184) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 5336060-1205) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 41184) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-03-31 |