| NPI | 1457324733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 0051305) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WY 6869A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 38407) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WY 6869A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 38407) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-10-23 |