| NPI | 1912161787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME128546) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME128546) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C170753) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2023-07-14 |