| NPI | 1588747406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 201519) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 22768) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 201519) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 22768) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT MED-PHYS-LIC-98295) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-02-28 |