| NPI | 1215248356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU M1976) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 250235) |
| 207R00000X Internal Medicine (Licence: RI LP02041) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU M1976) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 250235) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-05-23 |