| NPI | 1871781443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2019-01775) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2019-01775) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 44003) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101268170) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-08-28 |