| NPI | 1871540336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 042.0012659) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 228030) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VT 042.0012659) | |
| 207R00000X Internal Medicine (Licence: VT 042.0012659) | |
| 207R00000X Internal Medicine (Licence: MA 228030) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-07-29 |