| NPI | 1598982910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2014-0236) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD12999) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD12999) | |
| 207R00000X Internal Medicine (Licence: RI MD12999) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2016-02-05 |