| NPI | 1417305400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 279103) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 279103) |
| 207R00000X Internal Medicine (Licence: IL 125068665) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-07-22 |