| NPI | 1326368606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA OS020082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS020082) |
| 207R00000X Internal Medicine (Licence: NY 281056) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA OS020082) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 281056) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-09-06 |