| NPI | 1518385053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-00853) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2022-00853) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2022-00853) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-07-17 |