| NPI | 1134101413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME127385) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 049611) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 049611) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME127385) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2016-08-25 |