| NPI | 1558308874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 41058) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD07167) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD07167) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 41058) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2017-01-09 |