| NPI | 1952462798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-11294) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 45596) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 38561) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 38561) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 45596) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-04-25 |