| NPI | 1871760983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME124389) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 258691) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME124389) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 258691) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2024-10-28 |