| NPI | 1497872675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 53941) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ND 11150) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 50104) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.207663) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2021-03-24 |