| NPI | 1568490258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 74157) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 74157) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 74157) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-03-24 |