| NPI | 1386027811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2018009695) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2018009695) |
| 207R00000X Internal Medicine (Licence: MS T-2956) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2024-08-08 |