| NPI | 1659567089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME133811) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01067487) |
| 207R00000X Internal Medicine (Licence: IL 36117952) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME133811) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2022-01-31 |