| NPI | 1164423307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX E6649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX E6649) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX E6649) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2012-12-07 |