| NPI | 1588832539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME104258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 1821) |
| 207R00000X Internal Medicine (Licence: CO 46515) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME104258) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2023-04-20 |