| NPI | 1669851697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 29134) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 29134) |
| 207R00000X Internal Medicine (Licence: CA A155909) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 330830) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 29134) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A155909) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A155909) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 330830) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2023-02-21 |