| NPI | 1003201625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 66833-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 309895) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 66833) | |
| 207R00000X Internal Medicine (Licence: WI 66833-20) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-02-08 |