| NPI | 1134186067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI 06164) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI 6164) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI 6164) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI 06164) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-09-20 |