| NPI | 1609009158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 273615) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 42091) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 273615) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2019-01-31 |