| NPI | 1396126553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2017034703) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2017034703) |
| 207R00000X Internal Medicine (Licence: MO 2017034703) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2017034703) | |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2024-11-19 |