| NPI | 1982133211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2020013267) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 67864) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 67864) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-06-21 |