| NPI | 1801885967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D66132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 150984) |
| 207R00000X Internal Medicine (Licence: MD D66132) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 150984) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 21020) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D66132) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 150984) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2021-02-22 |