| NPI | 1689961807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 302999) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU M-2448) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME MD20937) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU M-2448) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2024-08-08 |