| NPI | 1265669972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME136630) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A136572) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME136630) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A136572) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-06-23 |