| NPI | 1083604870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 216379) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 216379) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 039740) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 039740) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2010-02-24 |