| NPI | 1811976582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101253497) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME105962) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 21055) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME105962) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 21055) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-02-26 |