| NPI | 1992936330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD458023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 4649604-A 361) |
| 207R00000X Internal Medicine (Licence: MA 251334) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 251334) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 251334) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2018-04-30 |