| NPI | 1720053192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NH 17669) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 205018) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 205018) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NH 17669) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-09-14 |