| NPI | 1639164494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D57619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D57619) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D57619) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2019-02-06 |