| NPI | 1578525069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME0032775) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME032775) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME0032775) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-12 |