| NPI | 1144531641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 4322) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: KY 45584) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 83293) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 4322) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2022-09-20 |