| NPI | 1578705125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 59301) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 59301) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 55587-21) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 55587-21) | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2023-07-31 |