| NPI | 1104950542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: RI MD12177) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: RI MD12177) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-01-21 |