| NPI | 1023435609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 330692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 330692) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 58828) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 26606) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 330692) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2023-04-03 |