| NPI | 1902125834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.206843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:057584) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.206843) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2017-09-11 |