| NPI | 1669425245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA 20A16041) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 5017) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 100-321) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IN 02002916A) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 5017) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-06-22 |