| NPI | 1982707204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NE 25115) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: ME 015496) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NE 25115) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-07-02 |