| NPI | 1275799694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME119854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2016-0105) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2016-0105) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2016-0105) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2024-10-17 |