| NPI | 1962660829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NH 18250) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR MD154064) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NH 18250) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OR MD154064) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2018-02-15 |