| NPI | 1659564268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME102912) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101255133) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME102912) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2014-01887) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 002798) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-02-11 |