| NPI | 1942382692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 47697) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 34327) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0046081) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 34327) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-09-10 |