| NPI | 1003043043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 52180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A108371) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 52180) | |
| 207R00000X Internal Medicine (Licence: TN 52180) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-11-09 |