| NPI | 1679631469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-01156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01156) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU M-2138) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU M-2138) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2012-01156) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-07-10 |