| NPI | 1750601118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2018-02575) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2018-02575) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2018-02575) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-04-08 |