| NPI | 1356331698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME103507) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME103507) |
| 207R00000X Internal Medicine (Licence: KY 39482) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2021-06-24 |