| NPI | 1891959441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 43520) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 232558) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 232558) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01068045A) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-01-26 |