| NPI | 1003808668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 36739) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E3687) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E3687) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 36739) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-10-04 |