| NPI | 1740247337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: RI MD18843) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: RI MD18843) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 59899) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-12-08 |