| NPI | 1528301678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102206862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102206862) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 20A13587) | |
| 207R00000X Internal Medicine (Licence: CA 20A13587) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A13587) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102206862) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-03-08 |