| NPI | 1699114157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 71593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204895) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 71593) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-11-22 |