| NPI | 1962821678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101260115) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME140513) |
| 207R00000X Internal Medicine (Licence: VA 0101260115) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME140513) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2022-08-16 |