| NPI | 1417191891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME104143) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME104143) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME104143) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2024-09-23 |