| NPI | 1972576320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 069156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 069156) |
| 207R00000X Internal Medicine (Licence: VA 0101231635) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101231635) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 069156) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 69156) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 010231635) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-26 |