| NPI | 1760422786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301081563) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301081563) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 5315017206) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-05-28 |