| NPI | 1790722452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 005051) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 005051) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5315011063) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-03-07 |