| NPI | 1689838252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 57307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 103727) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 51250) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 57307) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-04-16 |