| NPI | 1851452312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 66387) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301109965) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 37662) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME129911) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WV 29004) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 37662) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-07-22 |