| NPI | 1972680627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R8020) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R8020) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO R8020) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-16543) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-01-07 |