| NPI | 1639463292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 270130) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 270130) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2019-06-25 |