| NPI | 1902110976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 266933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449446) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 266933) | |
| 207R00000X Internal Medicine (Licence: MA 266933) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2025-03-11 |