| NPI | 1457702318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OT017263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 2939) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036150003) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036150003) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-05-13 |