| NPI | 1760425532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 288361) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 288361) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2003001136) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-06-22 |