| NPI | 1376717348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 250616) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 250616) |
| 207R00000X Internal Medicine (Licence: MA 250616) | |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2013-04-14 |