| NPI | 1649775024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.153882) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101026847) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5101026847) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-06-16 |