| NPI | 1154403665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M4038) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX m4038) |
| 207R00000X Internal Medicine (Licence: TX M4038) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-06-28 |