| NPI | 1619151503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 24724) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 269266) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 53403) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA 60217234) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 53403) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 269266) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2023-09-05 |