| NPI | 1407377203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A169914) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A169914) |
| 207R00000X Internal Medicine (Licence: CA A169914) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-07-07 |