| NPI | 1124041470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME63329) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME0063329) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0063329) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-09-13 |