| NPI | 1619961638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101225495) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D46055) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101225495) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2023-09-06 |