| NPI | 1598085490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-14643) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID M-14643) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ID M-14643) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2019-05-15 |