| NPI | 1578705745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2015-02359) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 334508) |
| 207R00000X Internal Medicine (Licence: CO 52193) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 042.0014206) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-02-24 |