| NPI | 1366869422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME148692) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME148692) |
| 207R00000X Internal Medicine (Licence: PR 19616) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2021-07-20 |