| NPI | 1962845529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101271637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 55792) |
| 207R00000X Internal Medicine (Licence: DC MD044919) | |
| 207R00000X Internal Medicine (Licence: VA 0101271637) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101271637) | |
| 208000000X Pediatrics (Licence: VA 0101271637) | |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2023-04-26 |