| NPI | 1861435745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 58476) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 22588) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 22588) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-03-30 |