| NPI | 1932307691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 49612) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 49612) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0058033) | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2022-01-11 |