| NPI | 1316007503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 9999999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 00027008) |
| 207R00000X Internal Medicine (Licence: CA A96549) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-12-14 |