| NPI | 1073519823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD33941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101232738) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: DC MD33941) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: DC MD33941) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MD D0063530) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MD D0063530) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-11-29 |