| NPI | 1912987652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101252082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101252082) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101252082) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-03-14 |