| NPI | 1205122538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 042.0014093) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NH 18344) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VT 042.0014093) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 18344) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2019-03-25 |