| NPI | 1730115239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 50498) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A67280) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A67280) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 103512) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-13 |