| NPI | 1659428480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 72243) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD08344) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD08344) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 72243) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-04-20 |