| NPI | 1710942305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 15836) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 15836) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2011-01811) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2011-01811) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-03-06 |