| NPI | 1518372721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A169519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065052) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-45237) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A169519) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-45237) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-12-30 |