| NPI | 1811109226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 37121) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-6461) |
| 207R00000X Internal Medicine (Licence: AR E-6461) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D74353) | |
| 207R00000X Internal Medicine (Licence: MD D74353) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D74353) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 37121) | |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2017-04-06 |