| NPI | 1063601045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A112464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57013586) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A112464) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2013-02-13 |