| NPI | 1457580607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101260981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101260981) |
| 207R00000X Internal Medicine (Licence: RI LP01636) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101260981) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2023-06-06 |