| NPI | 1659534501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 307929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237513) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 254196) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2016-10-21 |