| NPI | 1174721310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX N7858) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX N7858) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N7858) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2013-11-05 |