| NPI | 1710979208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 30675) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 101229) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-083124) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 101229) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-083124) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2023-10-12 |