| NPI | 1568598761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D68279) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D68279) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D68279) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2023-05-09 |