| NPI | 1578919635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 73826) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 73826) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 278950) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 278950) | |
| 207R00000X Internal Medicine (Licence: MA 278950) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-09-07 |