| NPI | 1699162610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U2570) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 30593) |
| 207R00000X Internal Medicine (Licence: WV 30593) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 30593) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 51224) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-05-15 |