| NPI | 1609851724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 153700) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 153700) |
| 207K00000X Allergy & Immunology (Licence: MA 153700) | |
| 207R00000X Internal Medicine (Licence: MA 153700) | |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2014-06-03 |