| NPI | 1871852624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2016-00573) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2016-00573) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2016-00573) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-03-05 |