| NPI | 1720372782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA DO-04392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-04392) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA DO-04392) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-01-02 |