| NPI | 1265474068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 42913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 42913) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: SD 13240) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 42913) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-04-05 |