| NPI | 1730507096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 27720) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL UO4083) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL UO4083) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-07-22 |