| NPI | 1356505507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME152368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091886) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 51773) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME152368) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 64312) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 51773) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-03-19 |