| NPI | 1487151908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD484268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D95954) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD484268) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D95954) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D95954) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD484268) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-10-15 |