| NPI | 1821259144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 265266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 7964677-1205) |
| 207R00000X Internal Medicine (Licence: CO DR 0053265) | |
| 207R00000X Internal Medicine (Licence: MA 265266) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME MD20638) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 265266) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-01-15 |