| NPI | 1700812310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 228033) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 228033) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2015-06-12 |