| NPI | 1720055098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A105076) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 042836) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 042836) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A105076) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2015-11-17 |