| NPI | 1669461414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C134908) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME EL101026) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH LT3198) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 151648) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO OR51238) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 40392) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2023-08-21 |