| NPI | 1902210651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-47940) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11081) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA R-11081) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-47940) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA R-11081) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2021-08-12 |