| NPI | 1902867401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MD D41593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D41593) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MD D0041593) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2021-02-12 |