| NPI | 1508029356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 282310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13665) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 282310) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD13665) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD13665) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2026-03-05 |