| NPI | 1811493299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101281699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 72273) |
| 207R00000X Internal Medicine (Licence: VA 0101281699) | |
| 207R00000X Internal Medicine (Licence: NY 320424-01) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101281699) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-08-20 |