| NPI | 1619386695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 313229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207331) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 313229) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: DE C1-0026376) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: DE C1-0026376) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-11-14 |