| NPI | 1861653156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD459037) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P9149) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P9149) | |
| 207R00000X Internal Medicine (Licence: IL 125-054985) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2025-01-14 |