| NPI | 1003891151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 49208) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 49208) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 49208) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-04-09 |