| NPI | 1821056540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME153904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036087837) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036087837) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME153904) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036087837) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME153904) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2024-05-06 |