| NPI | 1538321625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME 117786) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME 117786) |
| 207R00000X Internal Medicine (Licence: FL ME 117786) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2016-09-22 |