| NPI | 1760515464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO CDRH.0059734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00018) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2009-00018) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO CDRH.0059734) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2009-00018) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-06-14 |