| NPI | 1669601662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61034745) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-130003) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 201900047) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 201900047) | |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2020-07-15 |