| NPI | 1750327128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D55665) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G62106) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 1083) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 1083) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-11-17 |