| NPI | 1740474121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101255685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-00900) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2011-00900) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2011-00900) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2019-04-04 |