| NPI | 1962480830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0097401) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 111442) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-106976) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME97401) | |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2021-06-24 |