| NPI | 1154597300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX N3270) |
| Additional Taxonomies | 208D00000X General Practice (Licence: ZZ 3296438) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX N3270) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2010-06-21 |