| NPI | 1578723177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 86852) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 50856) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 50856) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-02-15 |