| NPI | 1477613958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101245964) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VT 0420008102) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101246964) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 0420008102) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-10-09 |