| NPI | 1831410802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA DO-04223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R8923) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA DO-04223) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2018-06-22 |