| NPI | 1043466535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N6740) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA08624700) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N6740) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2016-03-15 |