| NPI | 1376571893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME39994) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME39994) |
| 207R00000X Internal Medicine (Licence: FL ME39994) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-08-18 |