| NPI | 1144331851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C155272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088789) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C155272) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-12-08 |