| NPI | 1851775753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 66400) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 66577) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 66400) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2023-05-23 |