| NPI | 1487040051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A155580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ AZ MEDICAL LICENSE) |
| 207R00000X Internal Medicine (Licence: CA A155580) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A155580) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2024-06-27 |