| NPI | 1720407745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC 84032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 84032) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 84032) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-03-02 |