| NPI | 1699881680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101235278) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101235278) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D60563) | |
| 207R00000X Internal Medicine (Licence: VA 0101235278) | |
| 174400000X Specialist (Licence: MD D0060563) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-01-31 |