| NPI | 1063726461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D93854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458633) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD458633) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT209041) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D93854) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD458633) | |
| 208600000X Surgery (Licence: MI 4301097151) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2023-05-31 |