| NPI | 1699758318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AK 5202) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AK 5202) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-12634) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-01-06 |