| NPI | 1861816639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 188115) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 304680) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01088979A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 188115) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 304680) | |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2023-09-11 |