| NPI | 1194985838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60523585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440568) |
| 207R00000X Internal Medicine (Licence: KY 44571) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60523585) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2015-07-21 |