| NPI | 1700172947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 70728) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 70728) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 72704) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME127302) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 72704) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-05-17 |