| NPI | 1972778652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 33704) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 201302335) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 33704) | |
| 207R00000X Internal Medicine (Licence: SC TL33704) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-09-02 |