| NPI | 1790848562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 33699) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 33699) |
| 207K00000X Allergy & Immunology (Licence: NC 33699) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-11-22 |