| NPI | 1205819299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 159185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 159185) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 159185) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2012-11-13 |