| NPI | 1306029186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301105958) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301105958) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: MI 4301105958) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2023-01-09 |