| NPI | 1700980232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 111080) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 111080) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 26607) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-09-15 |