| NPI | 1538128574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 009851) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101019829) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 009851) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2010-06-29 |