| NPI | 1780889493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 52868) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 259527) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 52868) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 259527) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-10-12 |