| NPI | 1104040401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 049721) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A82796) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A82796) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 049721) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-04-22 |