| NPI | 1356316376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101234805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234805) |
| 207R00000X Internal Medicine (Licence: MD D0074698) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MD D0074698) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101234805) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MD D0074698) | |
| 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: VA 0101234805) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-03-29 |