| NPI | 1275852584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2019-00499) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2019-00499) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU DO-0122) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU DO-0122) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2024-05-30 |