| NPI | 1083677520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2001012062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2001012062) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 55775) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01062755A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2001012062) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2024-05-23 |