| NPI | 1699179556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 85593) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 72159) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 72159) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 85593) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-04-05 |