| NPI | 1205034238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M11826) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 54310-20) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 54310-20) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2013-04-26 |