| NPI | 1649293564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 20914) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 020914) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 020914) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-03-28 |