| NPI | 1457562159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME117319) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME117319) |
| 207R00000X Internal Medicine (Licence: MI 4301085441) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-10-04 |