| NPI | 1891911277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DE C1-0008404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE EI0305) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2015-01376) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-04-12 |