| NPI | 1417083841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 239979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-228865) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 239979) | |
| 208000000X Pediatrics (Licence: MA 239979) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-03-07 |