| NPI | 1720224223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101282597) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 018223) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 2507) | |
| 208M00000X Hospitalist (Licence: ME 018223) | |
| 173000000X Legal Medicine (Licence: MA 227982) | |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2024-09-27 |