| NPI | 1205843778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a39312) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A39312) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A39312) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-09-13 |