| NPI | 1568465953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME35850) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME35850) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME35850) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-08-23 |