| NPI | 1871646927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101243690) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA O101243690) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA O101243690) | |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-09-23 |