| NPI | 1265413801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME115944) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D41284) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D41284) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-12-04 |