| NPI | 1639337272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 060907) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME111982) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 60907) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME111982) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2021-04-26 |