| NPI | 1619073491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101-243666) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 17151) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 17151) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101-243666) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-07-26 |