| NPI | 1659699122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME131813) |
| Additional Taxonomies | 174400000X Specialist (Licence: NE 7270) |
| 207R00000X Internal Medicine (Licence: FL ME131813) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME131813) | |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2022-10-27 |