| NPI | 1942564398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 62786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17868) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 17868) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 17868) | |
| 207R00000X Internal Medicine (Licence: OH 35128687) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 73515) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2021-07-28 |