| NPI | 1194838110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 50474) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 50474) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-01-23 |