| NPI | 1982083663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 76584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1017750) |
| 207R00000X Internal Medicine (Licence: FL ME149396) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME149396) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME149396) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-02-03 |