| NPI | 1174597942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 9102) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 9102) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 9102) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2009-05-26 |