| NPI | 1295977858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2021-01907) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2021-01907) |
| 174400000X Specialist (Licence: NY 271108) | |
| 207R00000X Internal Medicine (Licence: NC 2021-01907) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2023-09-05 |