| NPI | 1124225982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 50086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50086-020) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 51817) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 50086) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-09-25 |