| NPI | 1285126896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 1020538) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 1020538) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: RI MD20120) | |
| 207R00000X Internal Medicine (Licence: MA 276404) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: RI MD20120) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-07-26 |