| NPI | 1811122666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 43503) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 59011) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 43503) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 59011) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2020-09-09 |