| NPI | 1487627667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME101230) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 39105) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME101230) | |
| 207R00000X Internal Medicine (Licence: FL ME101230) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-04-15 |