| NPI | 1053345124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 64346) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 35837) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 35837) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 64346) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-07-06 |