| NPI | 1245288513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2006002441) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 153517) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 49062-020) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2006002441) | |
| 207R00000X Internal Medicine (Licence: MO 2006002441) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 153517) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 49062-020) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-01-22 |