| NPI | 1023138443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 72497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088710) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301088710) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 72497) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-01-09 |