| NPI | 1124246681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 47816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 47816) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 47816) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-02-15 |