| NPI | 1710408554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 94182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070145) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 94182) | |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2023-07-13 |