| NPI | 1669735916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A124140) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD182328) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD182328) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-07-30 |