| NPI | 1386021970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 80039) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 17528) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME138203) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME138203) | |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2025-01-31 |