| NPI | 1639339989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 256032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256032) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 256032) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-06-06 |