| NPI | 1679791248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 34450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6626) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 34450) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-04-11 |