| NPI | 1336294370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101260991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101260991) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD438735) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101260991) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-04-20 |