| NPI | 1538187018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME71957) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME71957) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD049331L) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD049331L) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-11-14 |