| NPI | 1003883620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME87556) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 44264) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.096391) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME87556) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2024-01-25 |