| NPI | 1255794293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 292495) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 292495) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 292495) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-06-08 |