| NPI | 1871691139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2013-00956) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 219780) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2013-00956) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 219780) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-23 |