| NPI | 1306826680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA 420598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 221123) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD420598) | |
| 207R00000X Internal Medicine (Licence: PA MD420598) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: PA 420598) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2016-10-18 |