| NPI | 1992011175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 88197) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DE C1-0012639) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2021-07-30 |