| NPI | 1720279847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D78502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-232252) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 242899) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 242899) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-05-06 |