| NPI | 1922249770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 60085) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 60085) |
| Enumeration Date | 2009-03-07 |
| Last Update Date | 2019-10-21 |