| NPI | 1578767596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 066315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 34083) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 34083) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD 22267) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 34083) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD 22267) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2022-04-13 |