| NPI | 1851824320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC MDO.83694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC MDO.83694) |
| 207R00000X Internal Medicine (Licence: PA OS020621) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC MDO.83694) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-06-28 |