NPI | 1801157219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101284339) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME148508) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 56107) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101284399) | |
Enumeration Date | 2012-06-01 |
Last Update Date | 2025-02-24 |