| NPI | 1174818520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 270849) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 56833) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 270849) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2025-05-13 |