| NPI | 1730336009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101246116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246116) |
| 207R00000X Internal Medicine (Licence: LA MD-207621) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 2019-02099) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101246116) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2020-04-10 |