| NPI | 1417397092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 323740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.140074) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AL MD.37340) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AL MD.37340) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-07-29 |