| NPI | 1932561321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2023-00401) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5101027610) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101027610) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.016328) | |
| 207R00000X Internal Medicine (Licence: FL OS15988) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-07-10 |