| NPI | 1134200827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 033755) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CT 033755) |
| 207R00000X Internal Medicine (Licence: CT 033755) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-05-31 |