| NPI | 1144619230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 19196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19196) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PR 19196) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME154777) | |
| 208D00000X General Practice (Licence: PR 19196) | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-08-01 |