| NPI | 1477874295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 26700) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: VA 0101254486) |
| 207R00000X Internal Medicine (Licence: WV 26700) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 26700) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-04-08 |