| NPI | 1801939772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WY 9223A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P20609) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 76276) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C167782) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 76276) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-11-27 |