| NPI | 1831284645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME106716) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 38659) |
| 207R00000X Internal Medicine (Licence: MD D65843) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME106716) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-05-28 |