| NPI | 1881039204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 03992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03992) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 03992) | |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-12-04 |