| NPI | 1659427243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA C193599) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MT 100056) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MT 100056) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA C193599) | |
| 207R00000X Internal Medicine (Licence: MT 100056) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-09-05 |