| NPI | 1770863615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 28388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL md.36995) |
| 207R00000X Internal Medicine (Licence: IL 036-134699) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T9567) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T9567) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2023-02-10 |