| NPI | 1700033164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2015-01192) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2015-01192) |
| 207R00000X Internal Medicine (Licence: IL 336.089280) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2024-02-20 |