| NPI | 1093955619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS015739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 2774) |
| 207R00000X Internal Medicine (Licence: VA 0102204724) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102204724) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102204724) | |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2021-09-09 |