| NPI | 1669404182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2020-00433) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101038193) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2020-00433) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101038193) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-29 |