| NPI | 1477873230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME115404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115404) |
| 207R00000X Internal Medicine (Licence: AZ R71980) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME115404) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2022-11-22 |