| NPI | 1497122543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101261250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101261250) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101261250) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-09-29 |