| NPI | 1659340016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IA MD-49826) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 227002) |
| 207R00000X Internal Medicine (Licence: MA 227002) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 227002) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA MD-49826) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 227002) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-06-01 |