| NPI | 1255852018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101276915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-02862) |
| 207R00000X Internal Medicine (Licence: VA 0101276915) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2020-02862) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101276915) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-06-22 |