| NPI | 1164547022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 61054) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 061054) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD 0077047) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 061054) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-01-25 |