| NPI | 1649513847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-9352) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-9352) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2017-00698) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2020-07-16 |