| NPI | 1558454801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME114533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 39076) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 39076) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 39076) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME114533) | |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2016-11-14 |