| NPI | 1225191380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2007012449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241423) |
| 207R00000X Internal Medicine (Licence: MO 2007012449) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2007012449) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-08-01 |