| NPI | 1073997045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301107519) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-48509) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-48509) | |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2021-08-09 |