| NPI | 1104238757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 276987) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 276987) |
| 208000000X Pediatrics (Licence: MA 276987) | |
| 207R00000X Internal Medicine (Licence: MA 276987) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-04-04 |