| NPI | 1700897048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 51977) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME108047) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 051669) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC 51977) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME108047) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: GA 051669) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD073250L) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-01-04 |