| NPI | 1851520910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301106622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-057144) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301106622) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2020-12-11 |