| NPI | 1578756755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301507504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44531) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-44531) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-44531) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 23186) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2022-11-02 |