| NPI | 1023154242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD44845) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA MD44845) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD44845) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-02-09 |