| NPI | 1992786594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME32635) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME32635) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME32635) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-03-05 |