| NPI | 1053369066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-11-15 |