| NPI | 1962498196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 023084) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 023084) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 023084) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-12-28 |