| NPI | 1689944407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA a142854) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A142854) |
| 207R00000X Internal Medicine (Licence: CT 52549) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2020-04-20 |