| NPI | 1689602930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 54271) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2006001521) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2006001521) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-04-26 |