| NPI | 1982606422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 44027) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 0085691) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY TP461) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 0085691) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2019-06-26 |