| NPI | 1962523381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 10454) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 054461) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 054461) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 054461) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 52641) | |
| 207R00000X Internal Medicine (Licence: ND 10454) | |
| 207R00000X Internal Medicine (Licence: GA 054461) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-12-16 |