| NPI | 1881726701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101247989) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: LA 199907) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101247989) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-06-01 |