| NPI | 1003880865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 197177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 197177) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 40622) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 40622) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 197177) | |
| 208D00000X General Practice (Licence: MN 40622) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2024-11-21 |