| NPI | 1184997264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD.207687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200840) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.207687) | |
| 207R00000X Internal Medicine (Licence: LA MD.207687) | |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2023-04-12 |