| NPI | 1942512777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88312) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101264055) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2002-1833) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-03-17 |