| NPI | 1912116674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 7223998-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 205351) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: LA 205351) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 205351) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-10-01 |