| NPI | 1871724872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 88880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056077) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 56883) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88880) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 56883) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2022-05-11 |