| NPI | 1881890473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 90223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 90223) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2012-00290) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 90223) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2012-00290) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-10-12 |