| NPI | 1205179801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 265708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 265708) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 265708) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2020-06-22 |