| NPI | 1144720715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101267501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101267501) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101267501) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-08-27 |