| NPI | 1043420730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 37820) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 37820) |
| 207R00000X Internal Medicine (Licence: IA 37820) | |
| 207R00000X Internal Medicine (Licence: IA R7560) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-06-16 |