| NPI | 1609010180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 258035) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 258035) |
| 207R00000X Internal Medicine (Licence: MA 258035) | |
| 207R00000X Internal Medicine (Licence: NH 25520) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2024-04-03 |