| NPI | 1861470080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 38957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 38957) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 38957) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101236918) | |
| 207P00000X Emergency Medicine (Licence: TN 38957) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-03-13 |