| NPI | 1568433878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 72804) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 72804) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: MA 72804) | |
| 207R00000X Internal Medicine (Licence: MA 72804) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 72804) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-05-18 |