| NPI | 1780978114 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D85166)  | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D85166)  | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 053953)  | |
| 174V00000X Clinical Ethicist (Licence: MD D85166)  | |
| 207R00000X Internal Medicine (Licence: MD D85166)  | |
| Enumeration Date | 2011-06-02 | 
| Last Update Date | 2022-11-03 |