| NPI | 1760790976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301097302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097302) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 25626) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 56072) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301097302) | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2023-10-02 |