| NPI | 1124200654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A134420) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0072511) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0072511) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A134420) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2017-10-07 |