| NPI | 1790754521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301501242) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01060548A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01060548A) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-01-07 |