| NPI | 1073536074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 32334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 199938) |
| 207R00000X Internal Medicine (Licence: SC 32334) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 32334) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-05-20 |