| NPI | 1619914108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: ND PT21493) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 331039) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301077027) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301077027) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: LA 331039) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-08-22 |